Abstract：Objective To investigate the application effect of modified tubularized incised plate urethroplasty (modified Snodgrass surgery) in children with hypospadias Ⅱ.Methods A retrospective analysis of 120 children with hypospadiasⅡtreated in our hospital from July 2016 to July 2019 was conducted.According to different surgical schemes, they were divided into the experimental group(n=60)and control group(n=60).The experimental group was treated with modified Snodgrass surgery and the control group was treated with urethral basal vascular flap urethroplasty(Mathieu surgery).The clinical efficacy of the two groups was observed and compared.Results The operation time and the time of getting out of bed in the experimental group were shorter than those of the control group, and the bleeding volume was less than that of the control group with statistical significance (P＜0.05).There was no significant difference in the surgical success rate between the two groups (P＞0.05).The postoperative visual analogue scale (VAS) pain score in the experimental group was lower than that in the control group with statistical significance (P＜0.05).There was no significant difference in the total incidence of complications between the two groups (P＞0.05).Conclusion The modified Snodgrass surgery has significant clinical effect in treating children with hypospadias Ⅱ, which can effectively reduce the pain symptoms of children.The surgical success rate and safety are higher, which is beneficial for children′s recovery.
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Arshadi H，Sabetkish S，Kajbafzadeh AM.Modified tubularized incised plate urethroplasty reduces the risk of fistula and meatal stenosis for proximal hypospadias：a report of 63 cases[J].Int Urol Nephrol，2017，49（12）：2099-2104.
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